Shoreside Interventional Pain LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SHORESIDE INTERVENTIONAL PAIN LLC

Practice address

2068 Hawthorne St Ste 101
Sarasota, FL 34239-2368

Phone

(941) 362-5555

Fax

(941) 362-5559

NPI assigned

Aug 20, 2021

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen A. Irwin, MDNPI 1699954172

Title

Owner

Phone

(479) 268-6090

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Alexander Irwin, M.D.

  • Interventional Pain Medicine Physician
  • Rogers, AR
  • NPI 1699954172
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1407522212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-5700",
            "fax_number": "214-506-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 HAWTHORNE ST STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392368",
            "telephone_number": "941-362-5555",
            "fax_number": "941-362-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORESIDE INTERVENTIONAL PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-268-6090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Christine Shockley, LM, CPM
• Jordan Shoemaker, PA-C
• Justin P. Shoemaker, APRN.CRNA
• Linda Shoenberger, L.M.T.
• Eileen C Shomo, PHARM.D.
• Robertson J Short II, A.P., D.O.M.
• William Frederick Short, M.D
• James D Shortt, M D
• Donna L. Shotwell, O.D.
• Colin David Showalter, DPT

• Interventional Pain Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.